ADOPT

 

Adopt, Volunteer and Foster Form


Philozoia is a non-profit organization, whose main goal is to help bring people and dogs together. THE ADOPTION DONATIONS START AT $400. Adopters 
who 
are 
able 
to 
give 
more
 are
 welcome, 
as 
the 
funds 
will 
go 
directly 
toward
 rescue 
of 
another 
dog 
from
 a 
high 
kill
 shelter 
or 
for 
living
 expenses 
of 
some 
of 
our 
long 
term
 residents, 
who have 
been 
in 
our 
program
 for 
over 
5 years. This 
helps 
us 
cover 
the 
spay/neuter 
of 
your 
new
 pet, 
current 
shots, 
deworming, 
microchipping 
and
 temporary 
boarding 
and 
care 
of 
the 
animal. A
 home check 
and a 
binding 
contract 
will 
be
 required 
to 
adopt.
 Any misrepresentation of the information below authorizes Philozoia to deny application, and/or reclaim the pet that is in adopter’s home.

Name *
Name
Street address *
Street address
Date of birth *
Date of birth
Date
Date
Please choose one option *
Who shares your household? *
Type
 of
 home: *
Do
 you 
have
 a yard?
 *
Do
 you

 own

 rent 

your
 home? *
If 
renting,
 do
 you
 already
 have
 permission
 to 
have
 animals?
 *
Which
 of 
the
 following
 would
 force
 you
 to give 
up
 your 
dog? *
Terms & Conditions: I acknowledge that Philozoia cannot guarantee any animals against parasites, diseases or destructive behavior. Being eighteen years of age or older, I hereby agree to accept a position as a volunteer/foster/adopter for Philozoia, and in doing so, agree to comply with all the rules and regulations established by Philozoia, and I understand that failure to do so may result in my immediate termination as a volunteer/foster. As a volunteer/foster, I agree to do my best to represent Philozoia, to the public in an accurate and professional manner. I have agreed to accept such appointment subject to receiving the training provided in the program and understand that my participation is purely voluntary, without compensation; participation may be withdrawn or denied for any reason whatsoever and without cause. I recognize that in handling animals and performing other volunteer/foster tasks, there exists a risk of injury including physical harm caused by the animals. On behalf of myself, my heirs, personal representatives, and executors, I hereby release, discharge, indemnify and hold harmless Philozoia, its agents, servants, and employees from any and all claims, causes of actions, or demands, of any nature of cause, including costs and attorney fees incurred by Philozoia in connection with the same, based on damages or injuries which may be incurred or sustained by me in any way connected with my services for Philozoia, including but not limited to animal bites, accidents, or injuries. I understand that public relations is an important part of volunteer/fostering/adopting at Philozoia, On behalf of myself, my heirs, personal representatives, and executors, I hereby allow Philozoia, to use any images, photographs and video taken of me for use in public relation efforts. I agree to let Philozoia add my email to their list for communication in the future.
*
Thank
 you
 for 
filling 
out the
 application!